MR. GLEN WAYNE KOCH LMT
NPI 1194057893
Massage Therapist in Port Townsend, WA

Q: What is Glen Koch's NPI number?

The NPI number for Glen Koch is 1194057893. It was assigned to this individual provider in the NPPES registry on February 4, 2010.

Q: What is Glen Koch's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Koch was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 04, 2010

2552 S DISCOVERY RD, PORT TOWNSEND, WA 98368(360) 316-9093 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Glen Wayne Koch Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN WAYNE KOCH LMT (NPI 1194057893) is an individual massage therapist in Port Townsend, Washington, licensed in Washington (MA60133166) and active in the NPI registry since February 2010. He maintains a secondary practice location in Port Townsend.

NPPES Registry Identity

NPI1194057893

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. GLEN WAYNE KOCHCredential: LMT

Location Address2552 S DISCOVERY RDPort Townsend, WA 98368-8216

Mailing Address2552 S Discovery RdPort Townsend, WA 98368-8216 · (360) 316-9093

Phone(360) 316-9093

Sole ProprietorYes

Enumeration DateFebruary 4, 2010

Last NPPES UpdateNovember 14, 2024

NPPES CertifiedNovember 14, 2024

✔ NPI 1194057893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in WA · MA60133166

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2552 S DISCOVERY RD, Port Townsend, WA 98368

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Secondary Practice Location 1

Location 13019 Eddy StPort Townsend, WA 98368-5919 · Phone (360) 316-9093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Koch's NPI number?

The NPI number for Glen Koch is 1194057893. It was assigned to this individual provider in the NPPES registry on February 4, 2010.

Where is Glen Koch located?

Glen Koch practices at 2552 S Discovery Rd, Port Townsend, WA 98368. The listed phone number is (360) 316-9093.

What is Glen Koch's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Glen Koch was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.